Verified October 8, 2026 against the practice act, board rules and sources cited below. The board decides every application. All states
What OTs miss in Kentucky
- Kentucky renews every year, on October 31, not every two years.
- The Kentucky jurisprudence exam is required for licensure and will also apply to OT Compact privileges in Kentucky.
- OTAs need at least two hours of face-to-face supervision a month.
Can I practice in Kentucky on an OT Compact privilege?
Kentucky has enacted the OT Compact but is not issuing privileges yet. Until it does, practicing here takes a Kentucky license, and a Kentucky license does not yet give you a privilege anywhere else.
- Enacted, not issuing yet
Can an OT licensed in another state get a Kentucky license by endorsement?
Applicants licensed in another state apply for reciprocal licensure with a good-standing statement from every jurisdiction ever licensed, a copy of the NBCOT certificate showing initial certification, the fee, and proof of passing the Kentucky jurisprudence exam.
- Endorsement route available
Citation: 201 KAR 28:060, Section 3
Which exams does Kentucky require for a license?
The NBCOT exam is the approved licensure exam. Every applicant, including reciprocal applicants, must also pass the Kentucky jurisprudence exam.
- NBCOT exam
- State jurisprudence exam
Does Kentucky offer a temporary or limited OT license?
A temporary permit is available to initial applicants with a supervision form signed by a Kentucky-licensed OT; it is revoked after two failed NBCOT attempts. Separately, an out-of-state licensed OT may practice up to 60 days a year in association with a Kentucky OT after notifying the board.
- Temporary or limited license available
Citation: 201 KAR 28:060, Section 2; 201 KAR 28:030; KRS 319A.090(1)(e)
What OTAs need to know in Kentucky
The OT must provide at least four hours of supervision per month for each full-time OTA, including at least two hours face to face, prorated for part-time OTAs. The OT must countersign OTA notations on evaluations, plans of care and discharge summaries within 14 calendar days, and supervision must be documented.
Deep physical agent modalities specialty certification in Kentucky
Before using deep physical agent modalities, an OT or OTA needs board DPAM certification: hands-on training (not all online) plus five supervised treatment sessions signed off by a DPAM supervisor, and a $25 fee.
Citation: 201 KAR 28:170; KRS 319A.080(4)
How often does a Kentucky OT license renew?
Licenses renew every year by October 31, with 12 continuing competence units per year and a 60-day grace period with a late fee. A board-approved suicide assessment, treatment and management training of at least six hours is required every six years.
- Renews every year
- 12 CE hours per cycle
Licensing in Kentucky?
For a license, we send your NBCOT score and verifications, file the application and carry the board correspondence. License by endorsement is $599 for an OT and $499 for an OTA.